Practical Rehabilitation Essay

263 WordsJan 30, 20132 Pages
Practical Rehabilitation. 14th may 2012. Early/Late upper limb (Wrist) AIMS: 2/3rd ROM Introduce aims of the session • Heat check of wrist – Bilaterally • Full active range of elbow (flexion, extension, supernation and pronation) 10 reps of each (3 planes of movement, … • Finger opposition each finger to touch the pad of the thumb one after another (10 reps) Progression onto numbering fingers (1-4) number is called out and finger must touch thumb pad Gripping exercise – • Flexion, extension of wrist using made protractor. Active movement would move towards 1.5 to 2 with passive movement taking hold to around 2 – 2.5 with a 3 second hold (4 reps to 6 reps) on plinth • O & X game between the pair – best out of 3 wins. On plinth • Ulna and radial deviation using protractor. Active movement would move towards 1.5 to 2 with passive movement taking hold to around 2 – 2.5 with a 3 second hold (4 reps to 6 reps) on plinth • Proprioception using tennis ball – 2x finger rolls on plinth • Isometrics (mid range) flexion, extension, ulna and radial deviation 7 second holds (2,4,6 reps) End of session reassess the wrist, see if intended outcome has been made 2/3rd range of movement Remember to tell patient to only go up to their pain free ROM throughout the session Equipment: • 3 chairs • 1 plynth • 1 tennis ball • Piece of paper plus two pens (for me to bring in) • 3 times Protractors on piece of papers Aims: • To achieve pain free 2/3rd ROM by the end of the

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